Your library card entitles you to borrow materials from any of the member libraries in the Luzerne County Library System and it may be used at any member library. I apply for the right to use the libraries of the Luzerne County Library System and agree to comply with the rules and regulations. I will pay all charges for overdue, lost, or damaged materials borrowed on this card and will give immediate notice of any change of address. I understand there is a charge to replace a lost card. I agree that the library can contact me for reasons related to my borrowing responsibilities using any of the above information.

Signature(s)

Signature of Applicant:

Signature of Parent/Legal Guardian:

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